Chapter 135 Excellent suture technique
In the operating room, after strict disinfection, Li Quan changed into a disposable temporary surgical gown.
This must be a sterile environment and is separated from the emergency room outside.
If it is an emergency room, it has explosion-proof doors.
Because sometimes when rescuing patients, the patient's family doesn't understand and is excited, and will slap the door hard and want to rush in.
You must not be disturbed during rescue, once it is interrupted, the patient's life will be gone.
Therefore, the rescue room is much stronger than the defense here.
Moreover, the family members cannot see the scene inside outside.
The operating room generally undergoes less dangerous surgery, separated from the outside world by transparent glass walls.
No wonder Dr. Yang Yu only arranged for Dr. Li Quan and Dr. Luo Wenhao to go to the operating room to help. Not to mention anything else, disposable consumables alone cost a certain amount of money.
The cost savings must be considered.
The anesthesiologist arrived soon and probably had his family members signed a risk notice.
He directly started to apply life monitoring equipment to the patient and then performed general anesthesia surgery.
"Li Quan, have you ever had abdominal surgery on the patient?"
Yang Yu asked while checking for surgical instruments and other objects.
"I have watched the instructor perform uterine surgery, but I have very few opportunities to practice, so I only sewed it once." Li Quan felt a little ashamed.
Before he acquired the skills of a miracle doctor, his internship career was mediocre.
It was only then that time that he used the palace pushing technique to make contributions, and later Professor Liu rewarded him with an opportunity to practice sewing skin.
"Well! You are a second assistant this time, but on the premise of ensuring the safety of the patient, I will give you a certain opportunity to perform surgery." Dr. Yang Yu really dares to do anything.
You should know that if you can start practicing, you have to be a regular trainee for at least one year.
And you also need a regular training physician who has excellent comprehension and hands-on ability to gain the trust of the superior attending physician and give you the opportunity to practice real-person practice.
Of course, that kind of slit with extremely low risk does not count.
Yang Yu dares to give Li Quan the opportunity to practice, which is a great risk.
If something happens, Li Quan will not be punished, but Dr. Yang Yu will bear all the responsibility.
"Thank you for your trust in Dr. Yang. I will cherish it more and be cautious."
Li Quan's expression was solemn, his tone was serious, and his sonorous and powerful.
This attitude is one hundred times more useful than flattering Dr. Yang Yu directly.
Only in this way can Dr. Yang Yu feel at ease.
One dares to give, the other dares to answer.
Dr. Yang Yu and Li Quan were really Bole who met Qianlima.
Li Quan dared to accept it, so he naturally had confidence. Because he learned Hua Tuo's surgical skills, even if he was placed at the level of a resident, he was considered a top-notch existence.
His strength has long surpassed that of ordinary trainees.
Moreover, in terms of the rich experience in surgery, the many skills, and the essence of it, I am afraid that ordinary chief surgeons may not be able to compare with Li Quan.
You should know that Hua Tuo is the founder of surgical operations. The surgical experience accumulated throughout his life and the surgical skills he mastered are so vast.
"The anesthesia test is in place and the surgery can be started!"
The anesthesiologist said to Yang Yu.
"Start the surgery!"
Yang Yu's expression became serious. Two surgical nurses, one anesthesiologist and two assistants were the full strength of this large intestinal surgery.
"When taking the knife, you must first choose the best knife position. The patient's abnormal vascular tract of the large intestine is at this position, so choose to take the knife from here. Remember, you must draw the knife vertically, cut the knife in parallel, and close the knife vertically..."
While performing an open-abdominal surgery on the woman, Dr. Yang Yu taught Li Quan what to do.
Li Quan listened carefully, stood beside him and watched and studied intently.
"Embolectomy can be performed in the early stages of acute superior mesenteric artery embolization. If blood flow in the superior mesenteric artery can be restored, the vitality of the affected intestinal segment can be reassessed and the inanimate segment is removed."
After Dr. Yang Yu incision opened the patient's abdominal cavity, the large intestine could be seen.
Dr. Luo Wenhao silently cooperated to stop the bleeding and stretched the incision.
"Also, even if the patient has an intestinal infarction, thrombectomy should be performed first to improve the blood supply of the ischemic intestinal blood vessels and narrow the scope of intestinal resection to avoid short bowel syndrome..."
The operation was in full swing, and everyone was breathing carefully. The nurse who handed the surgical instruments behind him was also focused.
Everyone has only one common wish to make the patient safe and recover from health as soon as possible.
"Well... the thrombectomy was quite smooth. It might have been discovered very early, and the necrotic intestinal segment is very short. If you see it, this means that the intestinal segment has resumed normal blood supply."
Yang Yu dared not practice these core operations for Li Quan.
However, the subsequent hemostasis, muscle layer suture, etc. all gave Li Quan the opportunity to practice.
At the beginning, Dr. Yang Yu was also a little worried. After he found that Li Quan showed various excellent surgical qualities such as calmness, agility, calmness, and meticulousness in the operation, he felt much more at ease.
A happy smile appeared on his face.
This time, the emergency department really found a treasure.
This standard trainee not only has the ability to diagnose diseases, but also has amazing talents that show during actual operation.
"You two of you will encounter similar surgery in the future. You must pay attention to the fact that if the embolization segment is relatively long and the blood does not flow out after the thrombus is removed, or the outflow is not smooth, then it must not be sutured. You must check the proximal end, and you can also undergo a bypass transplantation. In clinical practice, the autologous saphenous vein is often used to perform bypass transplantation between the abdominal aorta or iliac artery and the unobstructed superior mesenteric artery below the embolism."
Dr. Yang Yu said everything he knew and taught Li Quan and Luo Wenhao carefully what he knew.
The selflessness and greatness of a doctor are well reflected in Dr. Yang Yu.
The operation has reached this point and it is almost over.
Check medical devices, hemostatic cotton and other substances, check it correctly, and start sewing the skin.
Let Li Quan do it again, Yang Yu and Luo Wenhao are carefully guiding each other.
...
After the entire operation was completed, Li Quan felt that his surgical ability had made leap forward.
After all, this time it was a real-person surgery, not a rubber man.
There is a saying that it is easy to see things but difficult to do things.
Seeing that the doctor was doing the surgery was like this, but when it was time to do it yourself, it was another matter.
The difference is very big.
"The skin is very good! The cortex is neatly aligned and there is no excessive stretching. At the same time, it cleverly avoided two blood vessel positions and three nerve positions. It can be seen that the teacher who teaches you suture is not only very high-level, but also teaches very well."
After seeing Li Quan's skin sewing, Dr. Yang Yu gave him a thumbs up again and praised him.
Even Dr. Luo Wenhao next to him couldn't help but praise him, "Even if you have been trained for three years, you may not necessarily have this suture level. Dr. Li is indeed very excellent."
This is how doctors are. If you have great medical skills, others will accept you and praise you from the bottom of your heart.
If you don’t have the ability, it’s useless to brag to heaven.
With a knife, the patient will have to braids.
Chapter completed!